How much rates vary
Facilitymedian $123 · 10th to 90th $87 to $933Professionalmedian $100 · 10th to 90th $72 to $178
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $79.43 | Facility | None | $72.44 | $72.44 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $91.20 | Professional | None | $72.44 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $36.31 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.02 Typical High $12.88 | Professional | 55 · Aftercare only | $10.96 | $12.02 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.94 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.24 | $7.94 | $8.51 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | None | $144.54 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $977.24 | Professional | None | $89.13 | $89.13 | $977.24 |
Emblem Health Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $323.59 | Professional | None | $177.83 | $281.84 | $323.59 |
Geisinger Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Geisinger Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $181.97 | Professional | None | $93.33 | $107.15 | $181.97 |
Martin's Point Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $85.11 | Professional | None | $72.44 | $79.43 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $36.31 | $39.81 | $42.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.02 Typical High $12.88 | Professional | 55 · Aftercare only | $10.96 | $12.02 | $12.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.94 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.24 | $7.94 | $8.51 |
Oscar Health Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $288.40 | Professional | None | $117.49 | $194.98 | $288.40 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $575.44 Typical High $977.24 | Facility | None | $125.89 | $575.44 | $977.24 |
UPMC Health Plan Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $288.40 | Facility | None | $87.10 | $100.00 | $288.40 |
United Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $147.91 | Professional | None | $72.44 | $87.10 | $147.91 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | 50 · Both sides | $158.49 | $177.83 | $177.83 |
Where Pennsylvania sits
The same service costs 2.5 times more in Hawaii than in Arizona. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 39th of 51
$107
HI $219AZ $89.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.